Outcomes of same admission cholecystectomy and endoscopic retrograde cholangiopancreatography for common bile duct stones: A post hoc analysis of an Eastern Association for the Surgery of Trauma multicenter study
The Journal of Trauma and Acute Care Surgery Apr 05, 2021
Tracy BM, Paterson CW, Kwon E, et al. - Given the uncertainty concerning the optimal timing for cholecystectomy after endoscopic retrograde cholangiopancreatography (ERCP) for common bile duct (CBD) stones, researchers herein examined if a delay between procedures would result in more biliary complications and longer hospitalizations. The study cohort comprised 349 patients who underwent the same admission cholecystectomy after ERCP for CBD stones at 12 US medical centers. Stratification of the cohort was done by time between ERCP and cholecystectomy: ≤ 24 hours (immediate), > 24 to ≤ 72 hours (early), and > 72 hours (late). A shorter postoperative LOS and hospital LOS were observed in correlation with undergoing an immediate cholecystectomy following ERCP. Seemingly, more common were rates of CBD explorations and conversion to open after 24 hours.
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